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179 NE 94 St (8)PERMIT AIFIEILl(CAT ON IFOR MIAMI SHORES VIIILILAGIE , 5 - 16 - 2000 179 N 94th St reet Date j Add h Tax Folio Legal Description Historically Designated: Yes � No Cwner/Lessssee / Tenant Lydia E. Jones Master Permit # ` [ (O 7y, Owner's Address 179 N.E. 94th Street, Miami, Fl 33138 Phone 305 757 - 9091 ContractingCo. Coastal Plumbing Co. of Miami Address 285 N.E. 185th Street, Miami, F1 33179 Qualifier Robert E. Brincefield ss# 263 - 46.3122 - Phone 305- 651 -4429 State # CFCO -19042 Municipal # 6264 Competency # 6264 Ins. Co. Collinsworth, Alter, et al. Arthitect/Engineer Address Bonding Company Address Mortgagor Address (Permit 'Type (circle one): BUILDING ]ELIECTRIICAL PLUMBIN .,>> MECHANICAL ROOFING PAVING FENCE SIGN Replace existing electric water heater WORD DESCRIPTION Square Ft. Estimated Cost (value) $200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OIF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY IR ES1[JLLT 2N YOUR PAYIING TNYIICIE FOR II MI PROVE( 4 ENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OIF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner and/or ondo President ^:.te My Commission Expires: , ,•:ti+• Patricia Stover :0: �� ' __ MY COMMISSION # CC839914 EXPIRES June 28, 2003 BONDED THRU TROY FAIN INSURANCE, INC FEES: PERMIT RADON APPROVED: Zoning Building Electrical Mechanical Plumbing Signature of Contractor or Owner- 1i Notary as to Contractor or My Commission Expires: er- Builder C.C.F. NOTARY ' ° BOND June 28, 2003 BONDED THRU TROY FAIN INSURANCE, INC ate . " Patricia Stover MY COMMISSION # CC839914 EXPIRES 0 TOTAL DUE S 'w - Structural Engineer INSURED CO ...TR A A GENERAL LIABILITY X OTHER Collinsworth, Alter, Nielson, Fowler & Dowling,Inc.(CJN /LRF) 5979 NW 151 Street, Suite 105 Miami Lakes, FL 33014 Coastal Plumbing Co. of Miami 285 N. E. 185th Street Miami FL 33179 RA THIS O INDI IS T .NOT Y THAT THING G POLICS ANY RE I EMENTCE CONDITION OF ANY CONTRACT OTHER DOCUMENT WITH FOR RESPECT TO WHICH THIS CERT I CERTIFICATE E MAY BE IS O R MAY ANY PERTAIN, THE CERTFICA MAY BE OR PERTAN. HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXP. TYPE OF INSURANCE COMM. GENERAL LIABILITY I CLAIMS MALE ®OCC. OWNER'S & CONTRACT'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM UMBRELLA FORM OTHER THAN U\ WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY NUMBER CPP1b0003589 CPP110003589 WC00A38261 DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS IFICA' E HO ACORD 2S4 (7t90) Miami Shores Village 10050 N.E. 2nd Avenue Miami, FL 33138 t'HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 1.'0 RIGHTS UPON THE CERTIFICATE HOLDER. TH S CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANY LETTER A National Trust Ins. Co. COMPANY LETTER 1'; COMPANY LETTER COMPANY 77�� LETTER Ill' COMPANY TE LETTER COMPANIES AFFORDING COVERAGE POLICY EFF. DATE (MM/DD/YY) 5/05/00 5/05/00 5/05/00 The FCCI Mutual DATE (M MJDD/YY) 5/05/01 5/05/01 5/05/01 GENERAL AGGREGATE PROD-COMP/0P AGG. PERS. & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE(ODe Ftre) MED. M. (Oae Per) COMBINED SINGLE LIMIT BODILY INJURY (Per parson) BODILY INJURY (Per ccddxnt) PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMP. LIMITS 2000000 2000000 1000000 1000000 X00000 10000 1000000 STATUTORY LIMITS 100000 500000 100000 CELLA- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO M 3() DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KJND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. — CL TA. Ll T GLOOOTO BATH TUBO SHOWaRO LAVA- TORIO0 S IN " SLOP DINKO LAUNDRY TUDO URINALO CATCH BAOIN FLOOR DRINKING DRAIN FOUNT'NO I TOT. -l. PIETI ROO - CHECK I SEPTIC j f 1 TANK SOWER CONN. DRAIN PIaLD SOAKAO6 PIT GRISAOa TRAP SOLAR (LAVER H a DaaP W ALL SPRKLR. SYaTa I BWIM'O POOL CONTR. LOT - - _- — CHOCK -- liana ;, tip. a aJ •I -- Amount of Permit $ (2 STATE OF FLORIDA, 1 COUNTY OF DADE. My Conunission Expires MOAMO SNORES VOLLQO! PLUMBING INSPECTION DEPARTMENT APPUUCA1T OR'1 FOR PLUMI3URIG lP[ERMOT Size Septic Tank_...— _ _Type of Tank__ Feet of Drain Tile 160 S q _f t., —Dist Feet of Torah or Drain Field from Well. -- Nature of Water Supply: City — Well..__._— ..... __________________Size of Soakage Pit (Slip ea) •- - - - - -- - - -- Date .kp r i1 28x._.19 81 phl..�Il n 1. hereby made for the approval of the detailed statement of the plans and specifications herewith subr t:• . 1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: ! Shores Village, Florida, d „d all pro.isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic'- of the Building Division of Nttami Shores Village shall be complied with, whether herein apesified or not. A copy of approved plans and apex fications mutt be kept of ',wilding during progress of work. ')wner's Name and Address Al Jones No. 179 - -- ._ NE 94 - - -___. street_ ._. .._ ... .e .tred Architect and /or Engtneez :mploying Plumber's Name()....G...L1a3ui_ aptzc Tank iPr jp -__ - $ .. ]�Tjy' ] J . ® q �j� 1 s 1 J X1.0 33168 Location and Legal Description Lot_ Bloch Street and Number where work is to be performed —No .1.7 9 N �4tJi State work to be performed and purpose of building (By Floors) New Building . Remodeling__— Addition Repairs Subdivision Street Nt. of Stones Capodty ° Ado _ . (Signed)A.Si. ! V” '."et �f Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n,rioyct of tabor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent fupl lenient, and Inds "O 1 lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed ! y him in ' ,, rk tI performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pobl'. notice T. no is a a: required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 'a this p , r1 Licensed by Miami Shores Village. Mast a Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take a cknowled3ments, perwTm. • , ppeanec. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .... ........ . of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and beat all act!, therein by hint stated are true. Notary Public, State of Fkoaido NOTE: A re- inspection fee of $1.00 will be made wlrz:31 cacao rti isp fo rarntb'8f'.ut7-' nosy by improper no2loa for Imo pere'.00t, to mutt, materials and/ca workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N2 5136 Contractor's License No. Work to be performed under this Permit 194_ Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building _ Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pennit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed:_ By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY UILDING LECTRICAL LUMBING twner of uilding rchitect : ontractor i Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7445 Work to be performed under this Permit ,egal Lot )escription ddress of - Value of Amt. of uilding Project I Permit This permit is granted to the contractor or builder; named above to construct the building or to install the equipment or device descn d in the appli- ition herefor in strict compliance with all ordinances pertaining thereto an4 with the understanding that the work will be performed in comp ce with any fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may+ e revoked any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this omit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and !gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. Bl. Subdi- vision CONTRACTOR OR BUILDER BY DATE 194.. Contractor's License No. Signed: : Bt , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations :rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 1 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY REQ1 ST FOR INSPECTION Co pa Job c � (. `∎d) -- ( L ' __ V . /�' i -? % � f � , Js. — i h �> Address / 1 f ) Inspection Time Ready Date Ready PHONE n Permit No Amount of Permit $ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Addr ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / r, Registered Architec'c and /or eer , , P T / 2 �Jr ' / L No _ __' r Street Employing Plumber's Name_- =_. ,', Location and Legal Description 1:ot _� % _____ 1/_1� / / Blocks^ l G "if �y_r Street Subdivision �� `_ Street and Number where work is to be performed —No _ G�_ __ No (Signed) r 1 0 Date / • • ' ;tate work to be performed and purpose of building (By Floors) ' ew Building Remodeling 'Addition Repairs No. of Stories Size Septic Tank � ` =� - -- Type of Tank Capacity Gals - ( Feet of Drain Tile___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: C ity elf' — Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the, work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, _,work/to be performed under this permit as are licensed by Miami Shores Village. ( ,/' (Signed (" :I __ - y;_ � __ � Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TAN SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL • CONTR. LIST \. CHECK n Permit No Amount of Permit $ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Addr ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / r, Registered Architec'c and /or eer , , P T / 2 �Jr ' / L No _ __' r Street Employing Plumber's Name_- =_. ,', Location and Legal Description 1:ot _� % _____ 1/_1� / / Blocks^ l G "if �y_r Street Subdivision �� `_ Street and Number where work is to be performed —No _ G�_ __ No (Signed) r 1 0 Date / • • ' ;tate work to be performed and purpose of building (By Floors) ' ew Building Remodeling 'Addition Repairs No. of Stories Size Septic Tank � ` =� - -- Type of Tank Capacity Gals - ( Feet of Drain Tile___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: C ity elf' — Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the, work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, _,work/to be performed under this permit as are licensed by Miami Shores Village. ( ,/' (Signed (" :I __ - y;_ � __ � Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ' BUIiDING . ELECTRICAL PLUMBING Owner of Building ° Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE o 1947_ Contractor's License No /PERMIT N? 5104 Work to rmed under this Permit f 71,-- <et - 72 ? Bl. Subdi- vision Building / 4! 1 77 CCU 9 V � - This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assn the res nsr ility f r a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drs or.jt 'the ., sAtern��s or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ---) o Signed !i irfth EE CTO In consideration of the issuance to me of this permit I agree td • - -..rm the work cover hereunder in compliance with all 9r1inances and tgikliitians pertaining thereto and in strict conformity with the plans, draw' s , state nts or specificas submitted to the proper authoritics"of Miami Shores Village. In accepting this permit I assume responsibility for a work done ith e my if, my agent, servant or employee. Value of Project vPI Amt. of Permit AUTHORITY Jc N \a - 5 "Ai 6 574!- • 'ft./ a • __„ ' ° • Permit No `� d Amount of Permit $ r 4 v SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) 277./. Date �- My Commission Expires Notary Public, State of Florida Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address <_:/ _ No i' / Street , . i/ Registered Architect and /or Engineer____ "'' %�Z '2 'L'_ �__ f /r T Employing Plumber's Name __� ' ��� - . No.__ ' 1 r Street a Location and Legal Description Lot ,__, Block Subdivision:._,_ „' — !! Street and Number where work is to be performed —No — _,'/c+ , ..- Street -t- Street State work to be performed and purpose of building (By Floors) . New Building V Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this perinit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUReS CONTR. LIST - - ! � �� _ CHECK • - _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ,. - i • CONTR. LIST /. • ' - -1 CHECK Permit No `� d Amount of Permit $ r 4 v SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) 277./. Date �- My Commission Expires Notary Public, State of Florida Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address <_:/ _ No i' / Street , . i/ Registered Architect and /or Engineer____ "'' %�Z '2 'L'_ �__ f /r T Employing Plumber's Name __� ' ��� - . No.__ ' 1 r Street a Location and Legal Description Lot ,__, Block Subdivision:._,_ „' — !! Street and Number where work is to be performed —No — _,'/c+ , ..- Street -t- Street State work to be performed and purpose of building (By Floors) . New Building V Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this perinit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. f • • • MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 1944 - ELECTRICAL PLUMBING Owner of Building Address of Building p /, . /PERMIT N? 5136 Work to be performed under this Permit Architect Contractor or Builder Legal Lot y Description Bl. Subdi- `��a vision Value of Project r " . Contractor's License No /1 1 .0 d Amt. of ' , Permit • r, t ' ,, ` - This permit is gr to the contractoLor builder named above to construct the building or to install the equipment or device d scribed / in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above (es the for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or ; awmgs off in the statements o; specifications and that he assumes respon- sibility for work done by his agents, servants or employees. � r� ; ; , •! %r r ' , a, By U_ ,%> f! Signed INSPECTOR , e. In consideration of the issuance to me of this permit I agree to perform the work`coveied hereunder in compliance with all ordinances and r gitions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti Oof Miami Shores-Village. In accepting this permit I assume responsibility for all work done either myself, my agent, servant or employee. ACTOR OR BUILDER r BY AUTHORITY APPLICATION tit MAMBO © Permit No T Date. Siam Septic Tank Application is hereby miide for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ..... __._________ Nature of Water Supply: City —Well. My Commission Expires Registered Architect and /or Engineer__________ _ __ Employing Plumber's Name- _l '> .1__ e. 4... GALL vG` O SNORES VDD LAGS PLUMBING INSPECTION DEPARTMENT yza -__ No. - 0 Street- l/ - - .1s17 .11 -- -- Gil l No -- — 4/ Type of Tank (Signed)_ STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such sub-contractor work to be licensed by Miami Shores Village. (Signed Notary Public, State of Florida Street-____LAE Capacity Gals Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Location and Legal Description Lot __________ ____- _____ Subdivision Street and Number where work is to be performed— No.____ State work to be performed and purpose of building (By Floors)_____ New Building _. Remodeling _______....__.___________ Addition Repairs $r No. of Stories _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- d by him in the work to be lic notice or notices as are ed under is ;emit, as are 411111 Plumber. aths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and /e r workmanship. CLODQTG BATH TUBS SHOWQRe LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS URINAL CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. CONTR. LICIT CHECK APPLICATION tit MAMBO © Permit No T Date. Siam Septic Tank Application is hereby miide for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ..... __._________ Nature of Water Supply: City —Well. My Commission Expires Registered Architect and /or Engineer__________ _ __ Employing Plumber's Name- _l '> .1__ e. 4... GALL vG` O SNORES VDD LAGS PLUMBING INSPECTION DEPARTMENT yza -__ No. - 0 Street- l/ - - .1s17 .11 -- -- Gil l No -- — 4/ Type of Tank (Signed)_ STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such sub-contractor work to be licensed by Miami Shores Village. (Signed Notary Public, State of Florida Street-____LAE Capacity Gals Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Location and Legal Description Lot __________ ____- _____ Subdivision Street and Number where work is to be performed— No.____ State work to be performed and purpose of building (By Floors)_____ New Building _. Remodeling _______....__.___________ Addition Repairs $r No. of Stories _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- d by him in the work to be lic notice or notices as are ed under is ;emit, as are 411111 Plumber. aths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and /e r workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER / MIAMI SHORES VILLAGE, FLORIDA ERMIT ■2 7045 Work to be performed under this Permit t DATE 194 Contractor's License No. // J / Architect �' G Contractor or Builder Legal Lot Bl. Subdi Description vision Address of Value of Amt. of ; 1 V. Building % Project Permit .` �'� This permitris granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and 1 regulations pertaining to the work covered hereby whether shown on the plans or� drawings °or in the or specifications and,tAat he assumes respon- sibility for work done by his agents, servants or employees. r , i s 1 . Signed: - N By_ f * \ INSPECTOR In consideration of the issuance to me of this permit I agree to perform Ale work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statetnefits or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECT RICAL PLUMBIN • MIAMI SHORES VILLAGE, FLORID ,.�RNIIT N? 7445 rmed nder this Permi BY DATE 194Q Contractor's License No Contract or Builder Legal Description Address of Building This permit is g nted o the contrac'.r or builde# nai d above to t onstru4 the building . or. to install the equipment or d: ice desc � d in the appli- cation herefor in strict . mpliance with all ordinances pe taining thereto a . aerrttF the understanding that the work will be performed in comp ce with any plans, drawings, statements or specifications that may have been subi#tt d to and approved by the proper municipal authorities. This Permit ma s, e revoked at any time if the work is not done in compliance with such ordinances or if the pl l ns ar: anged without authorization. A further condition upon . ich this permit is granted is the understanding that the contractor» builder named above .; s t s e res onsibility for a thorough knowled• of e ordinan.•.s and regulations pertaining to the work covered hereby whstlier shown on the plans or r in state is or specifications and . at � assumes repon- sibility for work done by his agents, servants or emplees. ( Signed: INSPECTOR In consideration of the issuance to me of this permit I agree'to pei=ftrm,_ . \covered hereunder in compliance with all s and egula 'ons pertaining the r�eto nd in strict conformity with the plans, drawings, statements or spec fications submitted to the proper authonhes of Mia i Shotes 'VillMge. In accepting 'erg I / sume responsibility for all work done by either myself, my agent, servant or employee. r_ ( CONTRACTOR OR BUILDER AUTHORITY Permit Nod_ / I ) Application is hereby made for the approval of the detailed statement df the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of worl,z. o" G' Owner's Name and Address � " No.___ _�_ {'� __ Street___ �c'_ 7 Registered Architect and /or E weer / Employing Plumber's Nam �__ ! ______L ___ __ 1___ NO ✓ 11,— pt� 7/ , Locati an Legal Description Lot Block __ Subdivision/ Street _2 Street and Number where work is to be performed— No. ___/ °? State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 1 . � 7 1 ( Signed) � � J % �� _ - �_ -J/ , / �' C / PlumbingAiector. The undersigned applicant fo s building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's CompensaYitm Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 4 n (Sigge4.)__ Nature of Water Supply: City — Well._ Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / _ Date. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer aths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIEL SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK o Permit Nod_ / I ) Application is hereby made for the approval of the detailed statement df the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of worl,z. o" G' Owner's Name and Address � " No.___ _�_ {'� __ Street___ �c'_ 7 Registered Architect and /or E weer / Employing Plumber's Nam �__ ! ______L ___ __ 1___ NO ✓ 11,— pt� 7/ , Locati an Legal Description Lot Block __ Subdivision/ Street _2 Street and Number where work is to be performed— No. ___/ °? State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 1 . � 7 1 ( Signed) � � J % �� _ - �_ -J/ , / �' C / PlumbingAiector. The undersigned applicant fo s building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's CompensaYitm Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 4 n (Sigge4.)__ Nature of Water Supply: City — Well._ Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / _ Date. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer aths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.